PRS GMC Medicare Advantage Manager

Ascension; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Ascension is looking for a Full-time Contract Manager to oversee payer and employer contract negotiations. The ideal candidate will have significant experience in managed care and contracting, adept in negotiation and communication with healthcare providers. Join us to help transform healthcare delivery while enjoying a supportive work environment and comprehensive benefits.

Benefits

Paid time off (PTO)

Various health insurance options

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Qualifications

• 3 years of cumulative experience or more required, with preference in fields related to healthcare contracting.
• 3-5 years in managed care or contracting preferred.
• 3-5 years experience with direct contract red line and relationship management.

Responsibilities

• Manage negotiation and review of payer contracts for the organization.
• Develop reports specific to payer relations and contracting.
• Monitor financial and operational performance of payer contracts.

Skills

Negotiation skills

Analytic skills

Interpersonal skills

Organizational skills

Leadership

Education

High School diploma equivalency

Associate's degree/Bachelor's degree

Tools

Google Suite Professional

Job description

We Are Hiring

• Department:Payor Contracting and Relation
• Schedule: Full-time, 8 hour day shift, Monday - Friday, Remote
• Facility: Ascension

What You Will Do

Manage the negotiation and review of payer and direct employer contracts for the organization.

• Support the development and contracting for value-based population health opportunities and new reimbursement models.
• Manage financial modeling specific to contracting efforts, ensuring negotiated rates meet desired objectives.
• Develop reports and reporting solutions specific to payer relations, managed care and contracting needs.
• Monitor the financial and operational performance of payer contracts.
• Provide reports and analysis of performance, providing recommendations and feedback for contract renewals, renegotiations or termination.
• Serve as a relationship manager with payers in the market.
• Monitor all aspects of the relationship to ensure appropriate communication and contract compliance and maintaining delegated payer credentialing status.

What You Will Need

Education:

• High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.
• 3 years of leadership or management experience preferred.

Additional Preferences

• 3-5 years of managed care or contracting, including experience with provider relations, network development, and/or contract management, preferred.
• 3-5 years of direct contract red line experience, preferred.
• 3-5 years of proven negotiation skills and the ability to build strong relations with various health-care providers, preferred.
• 3-5 years of federal and state legislative environments, regulatory processes, and government health-care programs (e.g., Medicare, Medicaid) is preferred.
• Strong experience leading and managing teams, required.
• Strong Google Suite Professional experience, required.
• Strong analytic skills a mush have
• Strong organizational skills a must have.
• Strong interpersonal skills a must have

#LI-Remote

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.E-Verify

Benefits

Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.